726 results.
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Presenters Discuss ICD-10 Documentation Needs
Author: Dimick, Chris
Source: ICD-TEN Top Emerging News | AHIMA newsletter article
Publication Date: July 02, 2011
The warnings have rung loud since the ICD-10-CM/PCS deadline was set. The more specific ICD-10 code set will require more specific physician documentation – documentation that is currently missing from medical records.
Looking to explore these warnings, Texas State University faculty and....
Preparing for the ICD-10 Code Set: October 1, 2013 Compliance Date
Author:
Source: External web site
Publication Date: November 18, 2010
Preparing for RAC Prepayment Reviews
Author: Easterling, Sharon; Wilson, Donna D
Source: Journal of AHIMA - website
Publication Date: August 2012
We are now midway through 2012, and still awaiting the start of RAC prepayment reviews. The program was originally scheduled to start shortly after January 1, 2012, but has been pushed back until sometime during the summer of 2012. In the meantime, we are in the midst of struggling to....
Preparing for ICD-10 While in an ICD-9 World: The Importance of Clinical Documentation and Coding Integrity (CDCI™) Programs Being Early Adopters of ICD-10
Author: Doty, Laura; Kruse, Marion G.
Source: AHIMA Convention
Publication Date: October 02, 2011
Introduction
Unless you are living under a rock or plan on retiring (or plan on winning the lottery) you are probably aware of the United States adopting ICD-10 and beginning to worry about what this means for you and your organization. The focus of this paper is to explore the impact of....
Preparing for ICD-10- CM/PCS Implementation: Impact on Productivity and Quality
Author: Stanfill, Mary H; Hsieh, Kang Lin; Beal, Kathleen; Fenton, Susan H.
Source: Perspectives in Health Information Management
Publication Date: July 2014
Abstract
Coding productivity is expected to drop significantly during the lead-up to and in the initial stages of ICD-10-CM/PCS implementation, now expected to be delayed until October 1, 2015. This study examined the differences in coding productivity between ICD-9-CM and ICD-10-....
Preparing for ICD-10-CM in the Emergency Department: Approaches to Improve Emergency Department Documentation
Author: Stanfill, Mary H
Source: Journal of AHIMA
Publication Date: June 2012
Taking the right steps now will allow hospitals to improve emergency department documentation and adequately prepare for the future implementation of ICD-10-CM coding.
Obtaining the sufficient clinical documentation needed to support code assignment is a challenge in ICD-9-CM....
Preparing for ICD-10-CM in Physician Practices
Author: Kuehn, Lynn
Source: Journal of AHIMA
Publication Date: August 2009
What will change under ICD-10-CM, and what must be done to prepare? This is the year for physician practices to get their ducks in a row: become informed, assess their IT and training needs, and make a plan that leads to the October 1, 2013, deadline.
On September....
Preparing for ICD-10-CM: A Clinician's Perspective
Author: Rose, Eric
Source: Journal of AHIMA
Publication Date: July 2009
America’s physician practices are facing the biggest change in healthcare coding in decades: the replacement of ICD-9-CM by ICD-10-CM. This article discusses ICD-10-CM from a clinical perspective and reviews how electronic health record (EHR) systems will need to adapt to the transition.....
Preparing for ICD-10 – Beyond the Checklist Part 2
Author: Youmans, Karen; Myrick, Melissa; Roberts, Mary
Source: AHIMA Convention
Publication Date: October 02, 2011
Introduction
Within this paper, as well as our presentation, we will present our preparation techniques for ICD-10 implementation in a 12-facility Healthcare System including how to utilize internal resources as well as coordination with a consultant. During this session, attendees will l....
Preparing for ICD-10 – beyond the checklist
Author: Youmans, Karen; Myrick, Melissa; Roberts, Mary
Source: AHIMA Convention
Publication Date: September 27, 2010
Introduction
Within this paper, as well as our presentation, we will present our preparation techniques for ICD-10 implementation in a 10-facility Healthcare System including how to utilize internal resources as well as coordination with a consultant. The participant/reader wi....
PPS Brings Change to Inpatient Psychiatric Facilities
Author: Grzybowski, Darice
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2004
For the past 20 years, licensed inpatient psychiatry units and free-standing inpatient psychiatric hospitals have been exempt from DRG-based prospective payment for Medicare patients. This year that’s changing.
Beginning in 2004, the Centers for Medicare and Medicaid....
Potential Impact of the ICD-10 Underdosing Classification System
Author: Wall, Kathleen E.
Source: AHIMA blog post | Journal of AHIMA - website
Publication Date: February 17, 2016
The implementation of the ICD-10 classification system has provided an opportunity to capture data that has not been previously captured. The classification of “underdosing of drugs” can provide valuable information regarding not only the fact that a drug was underdosed, but also why. Thin....
Post ICD-10 Implementation: Where Are We Now?
Author: Maccariella-Hafey, Patricia C
Source: CodeWrite
Publication Date: November 2015
We heard deep sighs of relief as October 1, 2015, came and went and ICD-10 was finally implemented in the United States. This has been a long time coming for coding and documentation improvement professionals in the HIM world. At the time of this article's writing, we are two weeks into im....
Pneumonia and COPD Reporting in the Inpatient Setting
Author: Reed, Andretta
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: April 2017
This article highlights pneumonia and chronic obstructive pulmonary disease (COPD) code selections and proper sequencing based on healthcare provider documentation, ICD-10-CM Official Guidelines for Coding and Reporting, and ICD-10-CM conventions. As additional coding guidance continues to....
Plenty of CPT Changes for 2003: Latest on Additions, Revisions, and Deletions
Author: O'Hara, Karen
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2003
The 2003 Current Procedural Terminology (CPT) includes approximately 428 code changes, so as always, it is important to stay current. To assist you in using the new edition, the following provides a brief summary of the changes for 2003. The complete list of changes can be found in Appendix B....
Planning Organizational Transition to ICD-10-CM/PCS
Author: AHIMA e-HIM Work Group on the Transition to ICD-10-CM/PCS
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: October 2009
This practice brief has been retired. It is made available for historical purposes only.
Path to ICD-10-CM/PCS Preparedness—Case Study: A Consultant-Guided Journey to ICD-10
Author: McDermott, Shelley; Coplan-Gould, Wendy
Source: Journal of AHIMA
Publication Date: June 2013
ICD-10-CM/PCS (ICD-10) impacts every aspect of a healthcare provider’s organization. It is a universally recognized enterprise-wide initiative with multiple stakeholders, but is still competing with other high profile projects for IT resources and budget dollars. Virtually every hosp....
Pain-free Wound Care Coding
Author: Endicott, Melanie
Source: Journal of AHIMA
Publication Date: January 2010
Wound care diagnoses and procedures can be challenging to code. In order for coders to code them correctly, clinicians must document diagnoses and procedures appropriately and thoroughly. Open communication between coders and clinicians can help facilitate better documentation.
Inpa....
Outpatient Prospective Payment Becomes A Reality
Author: Scichilone, Rita A
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2000
Do you know your APCs? July 1, 2000, is the start date for the Ambulatory Payment Classification (APC) prospective payment system for Medicare reimbursement. CPT coding skills will directly affect revenue as the current Ambulatory Surgery Center (ASC) methodology is abandoned and mor....
Outpatient and Physician Reporting of Biliary Procedures
Author: Miller, Jackie
Source: Journal of AHIMA - Coding Notes
Publication Date: October 2008
Coding biliary procedures requires in-depth knowledge of anatomy as well as coding guidelines. This article outlines the correct coding for biliary procedures in outpatient and physician settings.
The Biliary System
The biliary system consist....
Optimizing Anatomy and Physiology Review for ICD-10
Author: Henderson, Kellie
Source: AHIMA Convention
Publication Date: September 25, 2010
Overview
As we move into the ICD-10 landscape an increased knowledge of anatomy and physiology is a critical requirement for success. Every coder has a different level of knowledge they draw from today. Identifying knowledge gaps and shoring up our defenses will provide us with informati....
Ongoing Challenges of ICD-10-CM Coding in the Post-Acute Care Setting: Coding Sequelae of Cerebral Vascular Disease
Author: LePage, Staci
Source: CodeWrite | AHIMA newsletter article
Publication Date: November 2016
The objective of this article is to examine the ICD-10-CM coding issues involved with the coding of sequelae of cerebral vascular disease.
One Little Lesion -- so Many Choices
Author: Gold, Robert S.; Brown, Margi
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2004
Part 1 of 2: The CPT Aspect
Concentrating on lesions in the integumentary system, this article provides some basic and user-friendly information for the coder to have at hand in the day-to-day world of coding.
Coding for lesions in the integumentary system requires a good under....
One Little Lesion -- so Many Choices
Author: Gold, Robert S.; Brown, Margi
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2005
Part 2 of 2: The Diagnosis Aspect and More CPT Notes
As noted in part 1 (Nov./Dec. 2004), lesion coding can be confusing. Terms are often vague or used interchangeably. Thus good documentation is absolutely crucial for the correct coding of both diagnosis and procedure. It’s go....
Obstetric Coding in ICD-10-CM/PCS
Author: Barta, Ann
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2010
ICD-10-CM/PCS will capture a greater level of specificity for obstetric coding. This article highlights some of the new features in coding obstetric cases with ICD-10-CM/PCS.
OB Diagnoses Coding with ICD-10-CM
Obstetric cases require diagnosis codes from chapter 15 of ICD-10-CM,....
Observation Services Present Compliance Challenges
Author: Prophet-Bowman, Sue
Source: Journal of AHIMA
Publication Date: March 2003
Observation services have been a top fraud and abuse target of the Office of Inspector General (OIG) of the Department of Health and Human Services, primarily due to the complexity of the Medicare billing regulations and the potential for abuse. New regulations regarding reimbursement for thes....
Observation Services
Author: Hapner, Peggy
Source: AHIMA Convention
Publication Date: September 25, 2010
Observation is a necessary, though cumbersome, service provided in hospitals today. Many facilities would like to see observation eliminated because it is a logistical nightmare, particularly when it comes to charges and reimbursement.
The most stringent rules about observation....
No Uncertain Terms
Author: Zender, Anne
Source: Journal of AHIMA
Publication Date: May 1998
HIM professionals think of classification systems such as ICD-9-CM as tools for everyday use. But these familiar systems are evolving and changing rapidly—as Donna Pickett, RRA, is well aware.
Pickett is medical systems administrator for the Office of Data Standards, ....
Not Your Average Encounter: Quirky ICD-10 Codes
Author: AHIMA
Source: Journal of AHIMA
Publication Date: August 2012
One look at the ICD-10-CM/PCS codebook proves that life is full of surprises. With ICD-10 stepping up the specificity of clinical codes, coders now have access to descriptions that can accurately capture even the most surprising of medical conundrums.
The increased specificity is....
Nothing Lasts Forever: How Physicians Can Prepare for the End of the One-Year Amnesty from Post Payment Reviews Due to Unspecified Codes
Author: Lee, Christine
Source: ICD-TEN Top Emerging News | AHIMA newsletter article
Publication Date: May 2016
Just as ocean tides shift with the earth's gravitational pull, physician practice administrators align staff and focus resources to address their organizations' most pressing concerns. This year, the tsunami grabbing administrators' attention is the conclusion of a one-year grace peri....
Next Generation of E/M Guidelines
Author: Hill, Emily
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2000
Few non-clinical issues have inspired as much discussion, revision, and anxiety as the evaluation and management (E/M) services and their accompanying documentation guidelines. E/M services have produced a cottage industry focused on ensuring that medical records contain necessary docu....
New Study Illuminates the Ongoing Road to ICD-10 Productivity and Optimization
Author: Alakrawi, Zahraa M; Watzlaf, Valerie J.M.; Nemchik, Scot; Sheridan, Patty Thierry
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: March 2017
To quantify the impact of ICD-10-CM/PCS (ICD-10) on coding productivity, Ciox Health, in partnership with the University of Pittsburgh’s Department of Health Information Management, School of Health and Rehabilitation Sciences, conducted a previous study published in the August 2016....
New Procedures for Joint Resurfacing of the Knee
Author: Hull, Susan
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2005
For 2005, CPT added a number of codes to reflect the continuing evolution of reconstructive knee procedures, especially those that address resurfacing of the articular surface of the joint following loss of normal chondral tissue. The fact that chondral tissue is avascular and has limited rege....
New Language of Procedure Coding: ICD-10-PCS
Author: Butler, Rhonda R.; Wall, Kathleen E.
Source: AHIMA Convention
Publication Date: October 21, 2005
Overview
The ICD-10 Procedure Coding System (ICD-10-PCS) is not only a new coding system, but a new language for identifying every distinct procedure that is performed on the human body. To understand ICD-10-PCS and gain access to its full potential to collect accurate data for research a....
New ICD-9-CM Procedure Codes for FY 2011
Author: Schraffenberger, Lou Ann
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2010
The new ICD-9-CM procedure codes go into effect October 1, 2010, for fiscal year 2011. This article highlights the new and revised codes for inpatient procedures performed in healthcare facilities across the United States.
The 2011 addenda with the all the changes to the ICD-9-CM pr....
New ICD-9-CM Procedure Codes for FY 2010
Author: Schraffenberger, Lou Ann
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2009
New ICD-9-CM procedure codes for fiscal year 2010 go into effect October 1, 2009. This article highlights the new and revised procedure codes. The 2009 addenda with all changes to the ICD-9-CM procedure tabular and alphabetic index (volume 3) is located on the Centers for Medicare and Medicaid....
New ICD-9-CM Diagnostic Codes for Fiscal Year 2008
Author: Schraffenberger, Lou Ann
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: September 2007
On October 1, 2007, the new ICD-9-CM diagnosis and procedure codes go into effect. This article summarizes these fiscal year 2008 changes.
Infant and Wound Botulism
Botulism is defined as neuromuscular poisoning from Clostridium botulinum toxin. Code 040.42 descr....
New ICD-9-CM Diagnosis Codes for FY 2012
Author: Endicott, Melanie
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2011
The new ICD-9-CM diagnosis codes go into effect October 1, 2011. This date marks the last regular annual update to the ICD-9-CM code set before the partial code freeze. On October 1, 2012, there will be only limited code updates to ICD-9-CM to capture new technology and new diseases. There wil....
New ICD-9-CM Diagnosis Codes for FY09
Author: Schraffenberger, Lou Ann
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2008
The new ICD-9-CM diagnosis and procedure codes go into effect October 1, 2008, for fiscal year 2009. This article highlights some of the diagnosis code changes. The complete ICD-9-CM tabular and alphabetic index (volumes 1 and 2) can be found on the National Center for Health Statistics Web si....
New ICD-9-CM Committee Presents New Codes, Changes
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: September 2002
This is part 1 of a two-part summary of proposals from the April 2002 ICD-9-CM Coordination and Maintenance Committee meeting and includes procedure proposals. Part 2 will include diagnosis proposals and will be published in the October Journal of AHIMA.
The ICD-9-CM Coordination and Main....
New ICD-10-CM Guidelines Released: Highlights of the 2010 Changes
Author: Barta, Ann
Source: ICD-TEN Top Emerging News | AHIMA newsletter article
Publication Date: June 2010
One of the keys to a successful transition to ICD-10-CM is a thorough understanding of the ICD-10-CM Official Guidelines for Coding and Reporting. Earlier this year, the National Center for Health Statistics published the 2010 guidelines. This article highlights some of the additions and revis....
New ICD-10-CM Guidelines: Highlights of the 2010 Changes
Author: Barta, Ann
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2010
One of the keys to a successful transition to ICD-10-CM is a thorough understanding of the ICD-10-CM Official Guidelines for Coding and Reporting. Earlier this year, the National Center for Health Statistics published the 2010 guidelines. This article highlights some of the additions and revis....
New Guidance for Home Health Coding
Author: Blevins, Ida K.
Source: Journal of AHIMA - Coding Notes
Publication Date: July 2009
Sweeping PPS changes for home health went into effect January 2008, making much of the prior coding guidance issued by the Centers for Medicare and Medicaid Services (CMS) incompatible with changes in the revised data collection set. Home health coding professionals anxiously awaited further i....
New CPT Codes Describe Emerging Technologies in the Treatment of Heart Failure
Author: Bowman, Sue E
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: April 2017
For 2017, there are new CPT category III codes describing procedures involving cardiac contractility modulation systems and implantable counterpulsation ventricular assistance devices. These emerging technologies are currently undergoing clinical trials. These codes are scheduled to sunset....
New Changes De-Spookify Modifier -59
Author: Wilson, Donna D
Source: Journal of AHIMA - website
Publication Date: October 30, 2014
The proper application of modifier -59 (Distinct Procedural Service) has mystified many a coder. The Centers for Medicare and Medicaid Services (CMS) has recently indicated that modifier -59 is the most commonly used and abused of all the modifiers—mainly due to the fact that it is used to....
New Anemia Codes Address Chronic Illness
Author: Bryant, Gloryanne H.; Gold, Robert S.
Source: Journal of AHIMA - Coding Notes
Publication Date: July 2001
As of October 2000, there were three new codes for the assignment of Anemia of Chronic Disease. These codes are 285.21, Anemia in end-stage renal disease, 285.22, Anemia in neoplastic disease, and 285.29, Anemia of other chronic illness.
These three codes will help to better describe....
New and Revised ICD-10-CM Obstetric Guidelines
Author: Barta, Ann
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2013
When comparing the ICD-9-CM and ICD-10-CM obstetric guidelines, coding professionals should note both revised and completely new guidelines in ICD-10-CM. These guidelines are a result of various new concepts introduced in Chapter 15 of ICD-10-CM, such as the addition of a seventh character....
Nervous System Coding in ICD-10-CM/PCS
Author: Endicott, Melanie
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2011
ICD-10-CM/PCS will capture a greater level of specificity for nervous system coding. This article highlights some of the new features in coding central and peripheral nervous system cases with ICD-10-CM/PCS.
Nervous System ICD-10-CM Diagnosis Coding
Nervous system diagnosis cod....
Navigating Uncharted Territory: Mapping ICD-9-CM to ICD-10-CM and ICD-10-PCS
Author: Butler, Rhonda R.; Wilson, Patricia S
Source: AHIMA Convention
Publication Date: October 31, 2006
Navigating Uncharted Territory: Mapping ICD-9-CM to ICD-10-CM and ICD-10-PCS
Rhonda Butler, CCS, CCS-P, and Pat Wilson, RT (R), CPC, PMP Learning Objectives
Identify important differences between ICD-9-CM and ICD-10 that cannot be reconciled by mapping.
Learn how to apply mapping tec....
Navigating the Physician Services Maze
Author: Skurka, Margaret A.
Source: Journal of AHIMA
Publication Date: July 2001
As HIM professionals know, accurate and complete documentation is critical for providing care and supporting reimbursement. This is particularly true-and yet particularly problematic-in the area of E/M coding. Medical practices report and are paid for their services using E/M coding, yet there....
Myocardial Infarctions: Frequently Asked Questions
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: July 1996
Myocardial Infarctions
Many coders still have questions regarding the correct coding and sequencing of myocardial infarctions (MI), particularly in relation to the use of the fifth digits, transfers, underlying diagnosis, and performance of procedures. The following information is provide....
Musculoskeletal System and ICD-10-CM
Author: Simmons, Cortnie R.
Source: ICD-TEN Top Emerging News | AHIMA newsletter article
Publication Date: April 02, 2011
This is the second in a series of articles focusing on body systems, the systems' common medical terminology, and some differences in the systems' ICD-10-CM/PCS code assignments.
In the last article we explored the Endocrine System and the organization of ICD-10-CM. This month we wil....
Much in Store for ICD-9, DRGs in FY 2004: 104 Diagnosis, 10 Procedure Codes, 13 DRGs Introduced
Author: Zeisset, Ann M.
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2003
New ICD-9-CM codes and DRG changes for fiscal year 2004 were released in the August 1, 2003, Federal Register. These changes went into effect October 1, 2003, with discharges occurring on or after that date. There were 104 new diagnosis codes and 10 new procedure codes. Due to code expansions,....
More Than Code Revisions in the 2004 Changes to ICD-9-CM
Author: Giannangelo, Kathy
Source: Journal of AHIMA - Coding Notes
Publication Date: October 2004
Coding professionals in acute care hospitals know that ICD-9-CM code modifications are implemented every October 1. This year, however, changes taking place will have far-reaching effects. The reason? The diagnosis portion of ICD-9-CM named under HIPAA has become the standard code set for repo....
More Specific Physician Documentation Needed for ICD-10-CM
Author: Burgess, Sheila
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: October 2015
The dawn of October also welcomes the official go-live date for ICD-10-CM/PCS—meaning there is absolutely no time left to waste in preparing for the additional documentation requirements necessary for successful ICD-10 implementation. Over the past several years, the healthcare industry h....
Modifier 25 — Defending a "Significant, Separately Identifiable Service"
Author: Morrow, Karna W
Source: CodeWrite | AHIMA newsletter article
Publication Date: September 2016
Think about the last time you attached modifier 25 to an Evaluation and Management (E/M) code. What were the circumstances? It was a new patient. The procedure or service was not planned. The provider documented each of the key components in addition to documenting the procedure. The payor....
Modifications to ICD-10-CM/PCS Under Review
Author: AHIMA Advocacy and Policy Team
Source: Journal of AHIMA
Publication Date: February 2014
The ICD-9-CM Coordination and Maintenance (C&M) Committee, a public forum on ICD-9-CM and ICD-10-CM/PCS code updates, met in September 2013. Meetings of this committee are co-chaired by the National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services (CMS). Coding proposals are presented at these meetings and the public is given the opportunity to comment. No final decisions regarding the adoption of code proposals are made at the meetings, but are made by the director of NCHS and the administrator of CMS.
Modifers – ‘Friend or Foe’
Author: Swindle, Jennifer
Source: AHIMA Convention
Publication Date: October 02, 2011
ABSTRACT:
Background: The need for modifiers to further and appropriate identify accurate coding information to all payers is critical for appropriate and accurate reimbursement. Failure to use modifiers can have a negative impact on a physician or an organizations’ revenue as witho....
Mental Disorders Pose Coding Challenges
Author: Albaum-Feinstein, Andrea L.
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2000
Because coding for professional services in mental health settings requires an understanding of numerous and complex treatment options and settings, a periodic review of Physicians Current Procedural Terminology (CPT) is essential. For many mental healthcare patients, a psychiatrist pr....
Medicare Program: Prospective Payment System for Long-Term Care Hospitals: Proposed Annual Payment Rate Updates and Policy Changes
Author: Rode, Dan
Source: AHIMA testimony and comments
Publication Date: April 30, 2003
April 30, 2003
Thomas A. Scully
Administrator
Centers for Medicare and Medicaid Services
Department of Health and Human Services
Attention: CMS-1472-P
P.O. Box 8010
Baltimore, Maryland 21244-1850
RE: Medicare Program: Prospective Payment System for Long-....
Mapping Systematized Nomenclature of Medicine–Clinical Terms (SNOMED CT) to International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM): Lessons Learned from Applying the National Library of Medicine’s Mappings
Author: Nandigam, Hari; Topaz, Maxim
Source: Perspectives in Health Information Management
Publication Date: July 2016
Abstract
The Systematized Nomenclature of Medicine–Clinical Terms (SNOMED CT) and the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) are two commonly used standardized health terminologies in the United States. In fall 2015, healt....
Mapping from a Clinical Terminology to a Classification
Author: Imel, Margo; Campbell, James R.
Source: AHIMA Convention
Publication Date: October 21, 2003
The paper discusses mapping and the relationships of SNOMED CT® to a statistical and administrative classification system such as ICD-9-CM. It explores the purpose and differences encountered in creating a mapping and provides a brief overview of SNOMED® and its evolution. The Terminology- SN....
Managing CPT Code Rejects: Updating Processes and IT Helps Cope with Growing Claims Work
Author: Thomas, John R
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2009
Each year healthcare adds programs, initiatives, and regulations to improve transparency and create efficiency. Unfortunately, many, if not all, add further complication, leading to higher CPT rejects. To effectively control the increasing time pressure of identifying, measuring, and repai....
Malignancy: Aftercare or Follow-Up?
Author: Parman, Cindy C
Source: CodeWrite | AHIMA newsletter article
Publication Date: May 2015
Physician documentation has always supported accurate diagnosis code reporting, but never more so than with the transition to ICD-10-CM codes. Specific terminology and the use of key words and phrases is essential, especially with terms such as "aftercare" and "follow-up," which phy....
Making a Proactive Transition to APCs
Author: Willett, Lyn
Source: Journal of AHIMA
Publication Date: July 2000
There's no doubt APCs are going to change the way your facility operates, but do you know how? By taking a look at your existing systems, you'll get a better idea of how to prepare for changes. This article spotlights specific functions to consider and optimize for the new outpatient prospect....
Major Changes for Heart Failure Codes in 2003: New Codes Put Sharper Focus on Diagnosing, Preventing Heart Failure
Author: Casey, Patricia E.; Zeisset, Ann M.
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2003
Are you up to date with the latest revisions to the heart failure codes? A revision of the heart failure codes, effective October 1, 2002, was originally presented at the May 2001 ICD-9-CM Coordination and Maintenance Committee meeting. At that meeting, representatives from Kaiser Permanente e....
Look at Modifiers for Hospital Use
Author: Philippou, Karla E.
Source: Brief Encounter
Publication Date: July 02, 2001
Modifiers have been a continuing problem in the hospital setting. Although modifiers were mandated for hospital use in June 1998, many hospitals were unable to comply until the implementation of Ambulatory Payment Categories, (APCs), on August 1, 2000. The initial problems were related to info....
Long-term Care Hospital PPS Creates Opportunities for Coders: Proposed Rule Addresses Related Coding Issues
Author: Hull, Susan
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2003
A prospective payment system has been in effect for Medicare reimbursement for various healthcare providers for almost 20 years. Most recently, long-term acute care hospital (LTCH) facilities have been added to the prospectively reimbursed providers. This is a significant change from the cost-....
Leveraging CAC to Prepare for ICD-10-CM/PCS
Author: Scott, Karen S.
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2013
As the healthcare industry prepares for the transition to ICD-10-CM/PCS, many tools have been developed to assist in mitigating anticipated coding productivity losses. Computer-assisted coding (CAC) is an important tool that healthcare organizations can leverage to help counteract projecte....
Leading the Transition to ICD-10
Author: AHIMA House of Delegates
Source: AHIMA HoD Resolution
Publication Date: June 18, 2010
Preamble
Whereas, October 1, 2013, has been set by the United States Department of Health and Human Services as the date for adopting the ICD-10-CM and ICD-10-PCS (ICD-10-CM/PCS);
Whereas, ICD-10-CM/PCS provides significant improvements in reporting diagnostic and procedural data an....
Last Minute Tips to Prepare for ICD-10 Implementation
Author: Endicott, Melanie
Source: AHIMA blog post | Journal of AHIMA - website
Publication Date: September 09, 2015
This is it. The final countdown is on. ICD-10-CM/PCS is just a few short weeks away from finally becoming a reality in the United States. For those of you that have been preparing for years for this day, I bet you are breathing a huge sigh of relief and thinking, “just get it over with alr....
Last Call for ICD-9-CM
Author: AHIMA
Source: Journal of AHIMA
Publication Date: October 2013
October 1, 2013 could be a day sentimental HIM veterans raise a glass to a longtime friend—or perhaps foe. For October 1 signifies the end of an era; it is the effective date of the final ICD-9-CM update before ICD-10-CM/PCS codes kick in on October 1, 2014.
In a statement t....
Laboratory Services Regulations Impact National Coverage Decisions, HIM
Author: Willard, Dianne
Source: Journal of AHIMA
Publication Date: October 2002
This is Part 2 of a two-part article on laboratory services regulations. Part 1, which appeared in the September Journal of AHIMA, dealt with the administrative policies contained in these regulations. Part 2 addresses the specific national coverage decisions that were developed as part of thi....
Keys to Preventing Outpatient Denials: How Coders Can Help
Author: Robb, Deborah
Source: AHIMA Convention
Publication Date: October 02, 2011
Background
Outpatient coding edits are complicated. Knowing the difference between modifiers, edits, bundling and scrubbers can be mind-boggling for coders paid on productivity and focused on the bottom line. However, ignoring the complexities of outpatient reimbursement rules c....
Key Issues in the 2009 OPPS Final Rule
Author: Clark, Andrea
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2009
The final rule for the 2009 Outpatient Prospective Payment System (OPPS) includes multiple revisions that hospitals must address in their practices, policies, and operations. Hospitals should develop strategies for analyzing the financial impact and operational challenges by reviewing the foll....
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